Colonial Manor of Randolph
811 South Main Street · Randolph, NE · 68771 · 4023370444
45 certified beds For profit - Corporation Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
-
Potential for harm · D April 14, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
-
Potential for harm · D December 10, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 5, 2026 · Resident Rights
-
Potential for harm · D December 10, 2025
Ensure each resident receives an accurate assessment.
Corrected January 5, 2026 · Resident Assessment and Care Planning
-
Potential for harm · F December 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 5, 2026 · Nutrition and Dietary
-
Potential for harm · E December 10, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 5, 2026 · Resident Rights
-
Potential for harm · D December 10, 2025 · found via complaint
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected January 5, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
No harm found · C December 10, 2025
Post nurse staffing information every day.
Corrected January 5, 2026 · Nursing and Physician Services
-
Potential for harm · D November 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 24, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E November 24, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 22, 2025 · Nursing and Physician Services
-
Potential for harm · F November 24, 2025 · found via complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected December 22, 2025 · Nutrition and Dietary
-
Potential for harm · F November 24, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected December 15, 2025 · Nutrition and Dietary
-
Potential for harm · F November 24, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 22, 2025 · Nutrition and Dietary
-
Potential for harm · D October 3, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected November 15, 2024 · Resident Rights
-
Potential for harm · D October 3, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 3, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 15, 2024 · Quality of Life and Care
-
Potential for harm · D October 3, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 15, 2024 · Pharmacy Service
-
Potential for harm · F October 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 15, 2024 · Nutrition and Dietary
-
Potential for harm · D October 3, 2024
Provide and implement an infection prevention and control program.
Corrected November 15, 2024 · Infection Control
-
Potential for harm · D October 3, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected November 15, 2024 · Pharmacy Service
-
Potential for harm · D September 14, 2023 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected October 9, 2023 · Resident Rights
-
Potential for harm · D September 14, 2023 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected October 9, 2023 · Pharmacy Service
-
Potential for harm · E September 14, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 9, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 3, 2024 | Payment Denial | 2 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285183 · certified since April 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.